| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
26,302 |
24,386 |
$5.01M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18,400 |
16,707 |
$2.62M |
| 80048 |
Basic metabolic panel (calcium, ionized) |
33,088 |
13,908 |
$1.68M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,077 |
4,713 |
$1.26M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,240 |
3,153 |
$1.03M |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,580 |
3,627 |
$956K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,879 |
2,800 |
$882K |
| 97602 |
|
1,173 |
545 |
$713K |
| 80053 |
Comprehensive metabolic panel |
18,561 |
15,691 |
$705K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,326 |
1,012 |
$659K |
| 36415 |
Collection of venous blood by venipuncture |
45,749 |
17,424 |
$535K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,449 |
2,346 |
$483K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
909 |
903 |
$418K |
| 88342 |
|
434 |
432 |
$418K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,035 |
1,016 |
$414K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,373 |
2,331 |
$339K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
879 |
863 |
$318K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
4,864 |
4,664 |
$303K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
765 |
752 |
$239K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,127 |
1,054 |
$210K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
908 |
882 |
$166K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,875 |
3,606 |
$165K |
| 80076 |
|
11,505 |
10,513 |
$148K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
982 |
949 |
$140K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,602 |
3,171 |
$134K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,215 |
886 |
$129K |
| 86850 |
|
2,173 |
2,055 |
$127K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,686 |
2,486 |
$112K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
172 |
172 |
$105K |
| 12001 |
|
227 |
225 |
$103K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
54 |
54 |
$98K |
| 90791 |
Psychiatric diagnostic evaluation |
305 |
277 |
$62K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
877 |
876 |
$61K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
216 |
215 |
$57K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
700 |
657 |
$54K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,869 |
1,858 |
$54K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
54 |
54 |
$54K |
| 83880 |
|
1,636 |
1,508 |
$53K |
| 86901 |
|
2,286 |
2,160 |
$51K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,190 |
847 |
$51K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
578 |
564 |
$48K |
| 76830 |
Ultrasound, transvaginal |
633 |
620 |
$45K |
| 76801 |
|
497 |
446 |
$44K |
| 86900 |
|
2,286 |
2,160 |
$44K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
998 |
991 |
$39K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,736 |
5,616 |
$37K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
361 |
319 |
$33K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,923 |
3,905 |
$30K |
| 80061 |
Lipid panel |
5,383 |
5,354 |
$29K |
| 70496 |
|
84 |
81 |
$28K |
| 85055 |
|
796 |
717 |
$28K |
| 93970 |
|
51 |
49 |
$28K |
| 86618 |
|
1,126 |
1,116 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,967 |
16,104 |
$26K |
| 93971 |
|
173 |
169 |
$22K |
| 29125 |
|
101 |
101 |
$21K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
976 |
968 |
$19K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,492 |
6,026 |
$17K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,455 |
5,491 |
$15K |
| 90715 |
|
582 |
579 |
$14K |
| 76642 |
|
523 |
519 |
$11K |
| 82607 |
|
974 |
964 |
$11K |
| 83655 |
|
880 |
880 |
$11K |
| 84439 |
|
1,504 |
1,492 |
$11K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
6,602 |
5,579 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,952 |
2,839 |
$8K |
| 85027 |
|
3,205 |
2,980 |
$7K |
| 82803 |
|
219 |
202 |
$7K |
| 84436 |
|
1,479 |
1,470 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
94 |
94 |
$7K |
| 76775 |
|
89 |
89 |
$7K |
| 82728 |
|
603 |
595 |
$7K |
| 85610 |
|
3,746 |
3,440 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
3,813 |
3,493 |
$6K |
| G0378 |
Hospital observation service, per hour |
120 |
61 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,031 |
1,014 |
$6K |
| 12011 |
|
13 |
13 |
$6K |
| 97162 |
|
51 |
49 |
$6K |
| 12002 |
|
13 |
13 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
623 |
623 |
$5K |
| 10060 |
|
12 |
12 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
27 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
286 |
285 |
$4K |
| 83735 |
|
4,008 |
3,589 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$4K |
| 84703 |
|
3,773 |
3,558 |
$4K |
| 86803 |
|
375 |
375 |
$3K |
| 76000 |
|
14 |
14 |
$3K |
| 84479 |
|
992 |
985 |
$3K |
| 84702 |
|
983 |
834 |
$3K |
| 29515 |
|
13 |
13 |
$3K |
| 81001 |
|
4,504 |
4,244 |
$3K |
| 83540 |
|
620 |
611 |
$2K |
| 71250 |
|
24 |
24 |
$2K |
| 85730 |
|
2,666 |
2,466 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
37 |
37 |
$2K |
| 87077 |
|
604 |
530 |
$2K |
| 86140 |
|
914 |
814 |
$2K |
| 85651 |
|
1,398 |
1,325 |
$2K |
| 83550 |
|
537 |
531 |
$2K |
| 84153 |
|
124 |
123 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,042 |
1,005 |
$2K |
| 87081 |
|
1,224 |
1,198 |
$2K |
| 96376 |
|
1,518 |
1,062 |
$2K |
| 81003 |
|
3,385 |
3,238 |
$1K |
| 82550 |
|
3,438 |
2,971 |
$1K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
2,121 |
1,899 |
$1K |
| 86480 |
|
28 |
28 |
$1K |
| 70486 |
|
12 |
12 |
$1K |
| 96367 |
|
38 |
25 |
$1K |
| 74018 |
|
536 |
514 |
$1K |
| 83690 |
|
2,417 |
2,216 |
$1K |
| 84484 |
|
4,448 |
3,412 |
$1K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
38 |
38 |
$1K |
| 84403 |
|
41 |
41 |
$1K |
| 83970 |
|
25 |
24 |
$896.47 |
| 87420 |
|
307 |
296 |
$862.84 |
| 82378 |
|
58 |
58 |
$850.53 |
| 84480 |
|
198 |
198 |
$818.96 |
| 86617 |
|
25 |
25 |
$623.70 |
| 82784 |
|
54 |
54 |
$623.55 |
| 87340 |
|
93 |
93 |
$610.53 |
| 87186 |
|
254 |
233 |
$602.23 |
| 86592 |
|
217 |
216 |
$581.07 |
| 83605 |
|
1,844 |
1,599 |
$537.06 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
32 |
32 |
$524.63 |
| 82570 |
|
145 |
142 |
$510.37 |
| 87040 |
|
1,729 |
966 |
$479.34 |
| 80320 |
|
1,391 |
1,179 |
$479.23 |
| 73630 |
|
66 |
63 |
$466.49 |
| 73610 |
|
137 |
135 |
$404.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
579 |
573 |
$399.46 |
| 80361 |
|
109 |
109 |
$395.09 |
| OP270 |
|
14 |
14 |
$389.43 |
| 82962 |
|
677 |
401 |
$359.54 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
12 |
12 |
$320.31 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
13 |
13 |
$318.12 |
| 86431 |
|
66 |
66 |
$281.75 |
| 86666 |
|
25 |
25 |
$242.02 |
| 86430 |
|
73 |
73 |
$241.70 |
| 72100 |
|
51 |
51 |
$239.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,034 |
1,008 |
$232.00 |
| 82043 |
|
61 |
60 |
$226.05 |
| 82977 |
|
59 |
59 |
$214.20 |
| 76536 |
|
12 |
12 |
$210.90 |
| 82150 |
|
454 |
438 |
$203.24 |
| 36416 |
|
110 |
84 |
$193.90 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$186.00 |
| 86765 |
|
14 |
14 |
$176.45 |
| 86709 |
|
17 |
17 |
$152.77 |
| 80365 |
|
48 |
48 |
$148.00 |
| 86705 |
|
16 |
16 |
$139.98 |
| 82248 |
|
28 |
26 |
$135.19 |
| 80349 |
|
38 |
38 |
$122.62 |
| 73030 |
|
41 |
37 |
$107.27 |
| OP250 |
|
34 |
27 |
$105.17 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,272 |
2,203 |
$101.78 |
| 86060 |
|
16 |
16 |
$86.35 |
| 80143 |
|
511 |
468 |
$85.56 |
| 73110 |
|
21 |
19 |
$76.02 |
| 80179 |
|
481 |
439 |
$66.74 |
| 82948 |
|
239 |
145 |
$59.16 |
| 85379 |
|
92 |
90 |
$56.53 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,095 |
898 |
$56.19 |
| 86038 |
|
12 |
12 |
$55.71 |
| 73130 |
|
41 |
40 |
$52.25 |
| 82746 |
|
13 |
13 |
$50.75 |
| 84550 |
|
14 |
14 |
$43.40 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,217 |
1,938 |
$41.78 |
| 80329 |
|
159 |
146 |
$33.59 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
75 |
63 |
$33.00 |
| 84100 |
|
14 |
13 |
$30.40 |
| J2704 |
Injection, propofol, 10 mg |
909 |
897 |
$29.23 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
216 |
198 |
$17.68 |
| 74019 |
|
12 |
12 |
$9.90 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
222 |
200 |
$4.46 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
108 |
96 |
$1.17 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
597 |
560 |
$0.91 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
26 |
19 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
13 |
12 |
$0.00 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
19 |
16 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
169 |
134 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
146 |
142 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
138 |
131 |
$0.00 |
| 87147 |
|
62 |
41 |
$0.00 |
| 73090 |
|
12 |
12 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
78 |
74 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
34 |
30 |
$0.00 |